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CLAIMS 



MISSIONARY ENTERPRISE 



MEDICAL PROFESSION : 

AN ADDRESS 

DELIVERED BEFORE THE TEMPERANCE SOCIETY OF THE COLLEGE OF 

PHYSICIANS AND SURGEONS OF THE UNIVERSITY 

OF THE STATE OF NEW-YORK, 

October 588, 1842, 



DANIEL J. BJACGOWAN, M. D. 









'■6'/ '. l Q * V* 

PRINTED BY WILLIAM OSBORN, 

88 William-street. 

1842. 



? 



y\ i 









College op Physicians and Surgeons, 

New-York, October 29th, 1842. 
Dr. D. J. Macgowan, 
Dear Sir, 

At a meeting of the Temperance Society of the College of Physicians 
and Surgeons of the University of the State of New- York, held this day, the under- 
signed were appointed a committee to request for publication a copy of your inte- 
resting and valuable address delivered before them on the evening of the 23th inst. 
They feel that there is a peculiar appropriateness in this request to one, who was a 
former President of this Society and our late delegate to Europe, and whom we 
hope to have as our future correspondent from those scenes of your medical mis- 
sionary labors in the Eastern world, for which you are on the eve of embarkation. 
It is with great pleasure that they execute their commission, hoping for a favorablo 
answer. 

Respectfully, 

Your obedient servants, 

N. Cheever, President. 

J. H. Ross, 

John Snowden, ^ Committee. 

D. P. Holton, M. D., Cor. See. 

S. F. Green, Rec. Sec. 



The undersigned, having heard Dr. Macgowan's address at the public meeting 
of the Temperance Society of the College of Physicians and Surgeons, join the 
above committee in requesting a copy for publication. 

Willard Parker, M. D; 
Joseph M. Smith, M. D. 
Charles A. Lee, M. D. 
Wm. R. Wagstaff, M. D. 
J. N. McLeod, Pastor of the 

Reformed Presbyterian Church. 



New-York, Oct. 29, 1842. 
Gentlemen : 

Your note in relation to the remarks made last evening, has just come to hand. 
I feel persuaded that, through want of time and ability, I have not done the subject 
justice, yet if you deem them worthy of publication, they are at your service. 

Be assured, gentlemen, that I shall ever feel happy in co-operating with you for 
the promotion of the great objects you have in view. 

Devotedly yours, 

DANIEL J. MACGOWAN. 
To Messrs. 

N. Cheever, President. 
J. H. Ross, 
John Snowden, 
D. P. Holton, M. D., Cor. Sec. 
S. F. Green, Rec. Sec. 
Professor Willard Parker, M. D; 
Professor J. M. Smith, M. D. 
Professor Charles A. Lee, M. D. 
Wm. R. Wagstaff, M. D 
Rev. J. N. McLeod. 



TO 



JOSEPH MATHER SMITH, M. D., 



PROFESSOR OF THE THEORY AND PRACTICE OF PHYSIC AND CLINICAL MEDICINE 



COLLEGE OF PHYSICIANS AND SURGEONS 



OF THE UNIVERSITY OP THE STATE OP NEW-YORK, 



THESE PAGES 
ARE RESPECTFULLY INSCRIBED, 

BY HIS GRATEFUL PUPIL, 

I). J. M. 



IRREGULAR 
PAGINATION 

PAGE(S) 

N0._hS 



TEXT IS COMPLETE 



ADDRESS. 



Gentlemen : 

You are associated together in your professional capacity 
for the extermination of a great moral evil ; the object is an appro- 
priate one, and eminently worthy your attention. The allevia- 
tion of human misery and physical suffering however produced, 
whether by natural or artificial causes, is the appropriate province 
of the healing art. Hence the medical philosopher is often no 
less interested in those questions which relate to the intellectual, 
than such as concern the physical man. Our proper study is 
man — in a state of health and when suffering under disease, in 
that microcosm of curious workmanship, his body, and in his 
moral nature, so far at least as it acts upon his corporeal frame. 
As a knowledge of those material agents which powerfully affect 
the human body, is requisite to constitute an educated physician, 
so also is it often of the highest moment that he should make 
himself acquainted with those principles and institutions, which 
are found powerfully to influence the mind. It has been often 
asked in the language of a great poet — 

" Who can minister to a mind diseased ?" 

We answer, difficult as is the task, it is often necessary to attempt 
it. It is frequently the indispensable duty and the highest triumph 
of the accomplished practitioner to heal the maladies of the body, 
by attacking the mental influence which has produced or exas- 
perated them. 

The reciprocal action and reaction of the informing spirit upon 
the material frame it occupies, whether either of them be in a 
sound or a suffering state, are so intimate, that religious belief and 
all kindred subjects become thus for certain purposes, and within 
certain limits the legitimate object of medical inquiry. 

Spread as the great family of mankind is, over many lands, 

1 



6 

and under great diversities of appearance and manners, but re- 
taining under all varieties of climate and condition, of custom, 
and of law, the same great features, the researches of the travel- 
ler, and the voyages of discovery, making us acquainted with 
these varieties, add to the resources of our profession. 

Entertaining, gentlemen, as you do, these enlarged views of 
that noble science which you have chosen as the profession of 
your lives, and having in view the promotion of virtue amongst 
men, you will not consider the theme selected for the present 
occasion as inappropriate. Your attention is therefore solicited 
to some remarks on the claims which the missionary enterprise 
has upon the medical profession. 

"We are aware that a subject so wide in its range, and so 
momentous in its relations, requires for its elucidation an ability 
which we cannot hope to bring to the discussion. We rejoice, 
however, that in some of its many connexions, this cause has 
already elicited zealous and abler advocates. Yet the field is 
both so extended and so fertile, that we may succeed in present- 
ing some considerations on the subject which may not be without 
their interest. 

If we regard the object of christian missions but as men, de- 
siring the advancement, elevation and happiness of our common 
kind, it will strongly commend itself to all the better feelings of 
our nature. Though greatly embarrassed in its operations by 
the prevailing apathy which it was so difficult to disturb, and by 
the inadequate resources with which it has been sustained, the 
missionary enterprise has, within the brief space of half a cen- 
tury, effected an incalculable amount of good. It has humanized 
savage tribes, fixed the roving, and reconciled the warring ; it has 
deprived the cannibal of his prey by implanting in him a distaste 
for his horrid banquets. It has extinguished the fire of human 
sacrifice, and snatched from the grave its living victims. It has 
elevated woman from a brutish degradation to the enjoyment of 
that equality for which she was originally destined, the companion, 
the counsellor, and the friend of man, and no longer the sport of 
his passions, or the victim of his cruelty. Others it has taught 
to forsake the filthy cave or the squallid hut, and to erect com- 
fortable dwellings, to till the soil, and to cultivate the arts. The 
plough, the distaff", and the shuttle, have been among its presents 
to-the barbarous tribes it has visited. It has given to them written 
languages, an infant literature, and that great agent of civiliza- 



tion, the press. It has erected for them, school-houses and sanc- 
tuaries, and has afforded protection to human rights, by furnish- 
ing in many cases written constitutions and laws, where the de- 
spotic will of a sanguinary chieftain had before been the law of 
a subject nation. But above all to secure them these and greater 
blessings, it has given in their own tongue, the Bible : that book 
which, as the dying Locke so justly remarked, " has God for its 
author, salvation for its end, and truth without any mixture of 
error for its contents." 

We need not trespass alike on your patience and your time by 
enumerating all the blessings which have attended modern mis- 
sions. They have accomplished all this and yet more, and they 
have done it, be it remembered, in behalf of classes and tribes 
whom many philosophers deemed utterly irreclaimable, and whom 
statesmen had doomed to inevitable destruction before the wasting 
vices of civilization and the lawless encroachments of the colonist 

Such are some of the claims this hallowed cause has upon our 
sympathies as members of the great human family. It com- 
mends itself also to those feelings of patriotism which we love to 
cherish, for this " Mercy is twice blessed." Well has its history 
illustrated the truth of holy writ, that " it is more blessed to give 
than to receive." The reflex effect of the Foreign Missionary 
cause has been to exert a most salutary moral influence through- 
out the entire length and breadth of our country. Our commerce 
has been extended and protected by it. Wherever our country- 
men meet an American missionary, they find in him an unpen- 
sioned consul and an untiring friend. It has caused the American 
name to be revered in many climes where otherwise it was but 
little known, or where known, unfavorably. Our valiant navy 
has not done more to make " the star spangled banner" respect- 
ed, than has been done by our fellow-citizens the missionaries of 
the Cross, who have gone forth armed, but in the panoply of faith 
and charity, and with the book of God as their chosen weapon. 
In England the far-reaching eye of commercial enterprise, has 
honorably recognised the missionary cause as one which is ac- 
complishing much for traffic, and which is destined to promote it 
yet more extensively. The Common Council of the City of 
London, aware of the advantages accruing to that mercantile 
community, in the emporium of the commerce of the world, from 
missionary labors, but a few years since voted £500 to Williams, 
the lamented martyr of Erromanga, to be expended in purchasing 



8 

a missionary ship, " not," say they, " as forming a precedent to 
assist merely religious missions, nor as preferring any sect or 
party, but to be an extraordinary donation, for promoting the 
great cause of civilization and the moral improvement of our 
common species." Nor are there wanting merchants in our own 
country, equally liberal in aiding the cause, and equally emphatic 
in the testimony they bore to its immediate and beneficial influ- 
ence on the peaceful pursuits of commerce. 

Nor is it only philanthropy and patriotism which require that 
we should give our aid and sympathy to this the great work of 
our age, but a further inducement is to be found in that desire for 
the promotion of science, which characterizes the intelligent phy- 
sician. This feeling should induce us to labor for the prosperity 
of christian missions as being identified as well with the interests 
of science, as with those of humanity and religion. As members 
then of a profession which is allied to every department of human 
knowledge, and bringing from every field its remedies, and lend- 
ing to every sphere and class its aids, we shall find that this cause 
presents peculiar claims upon us, which we may not disregard 
W'thout incurring the reproach of insensibility and selfishness. 

A leading statesman and philosopher of France, the acute and 
profound Guizot, has remarked before the Academy that missions 
would make the world known to itself. AVe have frequently evi- 
dence of the justness of the observation. Science in all its de- 
partments is continually receiving new acquisitions from the 
labors of those devoted men, who are thus contributing indirectly 
to the advancement of our art. 

The missionary enterprise promises again to make great and 
valuable additions to our materia medica. There are extensive 
portions of the globe as yet unexplored, which doubtless abound 
in vegetable and mineral treasures. These will not be brought to 
light by the mere traveller, but by those who reside for long pe- 
riods in the country, and who are enabled to make minute and 
leisurely investigations. The materia medica of China encum- 
bered and deformed as it may be with inert medicaments,* yet 
when better known to western nations, will doubtless be found to 
possess some valuable medical agents, chiefly derived from the 
vegetable kingdom. In this connexion, it is worthy of remark 

* One of these is tigers' bones. The Chinese physician reasons thus, the tiger is 
a very strong animal, and the bones are his strongest parts ; they must therefore 
possess powerful tonic properties ! They are accordingly employed in debility. 



9 

that we are indebted for the discovery of that invaluable medicine, 
the Cinchona, or as it was long called the Jesuit's bark, to a class 
of missionaries, who, however, have done more, it is feared, for 
science than for pure religion. To that distinguished missionary, 
Dr. Carey, the scientific world is much indebted for its know- 
ledge of the Flora of India, and his botanical labors alone should 
cause him to be considered as a benefactor of our race.* 

A growing disposition seems evident in our own as in most 
other branches of practical science, to make a common stock of 
all the knowledge of all nations, and to profit by the method of 
distant lands, and the discoveries of foreign and recent inventors. 
Thus it may be found that the East, far inferior as it is to us in 
extent of knowledge, yet has modes of treatment, and peculiar 
remedies, that becoming known to them by some bold experi- 
ment, or by some happy casualty, will deserve to be imitated and 
improved by us. 

That colossal empire in the East, whither all eyes are' now 
directed, has possessed men who, by long experience and careful 
observation, have attained to some degree of excellence in the 
healing art, but they have often been the victims of their skill. 
A surgeon by the name of Whato, who flourished about the 
twelfth century of the christian era, was put to death, and his 
works were burned on account of his proposing to relieve the em- 
peror, by performing the operation of trepaning. Tradition re- 
presents him to have been a bold and successful practitioner, and 
to him it is supposed reference is made by a poet, who speaks of 
a surgeon in that age as having removed a pearl from the eye, 
language which has been construed, as describing an operation 
for the removal of cataract. 

There can be no doubt then, that pagan lands present a wide 
field for scientific research. Not only their peculiar diseases, but 
also their botany, zoology, geology, mineralogy, and kindred 
subjects, will prove interesting and profitable subjects to the mis- 
sionary physician. 

Of their diseases some are new varieties of those long familiar 
under mild forms to us, others, are here entirely unknown, as the 
hideous and hateful leprosy, a form of suffering of which even 
our most crowded hospitals exhibit no specimens, which must 
therefore be studied abroad to be studied successfully. But others 

* TheLeper's Hospital, near Calcutta, was founded through the instrumentality 
of Dr. C. 



10 

there are, that springing as by some mysterious law in the East, 
that cradle of our arts and knowledge and religion, have found 
their rapid way over deserts and oceans, and completed, ere their 
desolating march was stayed, the entire circuit of the globe. 
Thus it was that but a few years since the Asiatic cholera rolled 
its cloud of devastation onward from its eastern home, across all 
intervening barriers, and through all forms of civilization and of 
barbarism, until the epidemic of Hindoostan, wasted at noon-day 
in the streets of our western world. To cope with such migra- 
tory diseases, may not some advantage be gained by the physician, 
who shall in his missionary labors, meet them, as in their own 
original domicil, and study them where they first make their ap- 
pearance ? 

Of the physician it is the high and honorable boast, that with 
him science is merely the necessary means, to an important end, 
that all his knowledge is eminently practical and its great pur- 
pose benevolent. It is his province to assuage human suffering, 
in all its varieties and aggravations, and, in imitation of the Saviour, 
■' to heal all manner of diseases." 

To extend the influence of science then, thus reduced to an 
ark of mercy, in the form of a profession, is obligatory upon us, 
not only from gratitude to the missionary as a fellow laborer in 
the fields of science, and from regard to the heathen as members 
of the great brotherhood of man ; but also because many regions 
of the pagan world are at this time enduring fearful miseries, 
which they trace directly and undeniably to their intercourse with 
our commerce and our civilization. The voyager has often dis- 
covered some far island of the deep, only to corrupt and enslave 
its inhabitants. The science and civilization and the commerce 
of the lands from which he sailed, owe then a long and large 
arrears to the tribes who in their new vices, and their novel and 
hideous diseases, present some of the fearful marks of a corrupt 
civilization. If we have wounded it is but just at least that we 
should strive to heal. Our people have entailed upon pagans 
some of the most loathsome and frightful contagions to which the 
human frame is liable, in this way mutilating their manly forms, 
poisoning their offspring, and rapidly depopulating the beautiful 
islands they inhabit. If this subject were probed it would disclose 
a mass of iniquity and suffering, sufficient to appal every right 
feeling. Superadded to this source of misery, 

" And worse than all, and most to be deplor'd, 
" As human nature's broadest, foulest blot," 



11 

these unhappy people are suffering from British opium, and 
others from American rum, evils more blighting, because from 
their fascinations more likely to spread, and to endure than the 
most terrific pestilence. Here is a vast amount of wretchedness 
produced by civilized man, which as civilized men, we, by our 
skill and experience, should strive to alleviate, nor is it too much 
to say, that we have it in our power in a measure to save some of 
these races from entire annihilation. Medical science may thus 
become more than the fabled wand of Esculapius, and in its 
humble manner be like the brazen serpent raised by the pro- 
phet in the wilderness, mighty to save a nation from impending 
ruin. 

Accustomed as from centuries of experience the physician in 
civilized lands has become, to give to the chamber of sickness all 
the consolations and cares of the most watchful tenderness, guard- 
ing his patient from the air and the light, lest they would too rude- 
ly reach him, and in diet, and in attention, consulting unceasingly 
his state of feebleness and suffering, he cannot but feel more sen- 
sibly than any other class, the cruelties of heathenism, and the 
butchery of those tender mercies which it affords to the sick and 
the dying. The treatment to which invalids are subjected in those 
lands where the gospel does not exert its power, should excite in 
us our deepest commiseration. The Brahmin priest chokes often 
the sick Hindoo with handfuls of the mud of the Ganges, some 
are burned, and others are buried alive, who with care and skill 
in the treatment, might have speedily recovered. At times the 
enfeebled, the aged, and the dying, are brought to the banks of 
the sacred river, and there exposed to the burning sun ; the mouth 
and nostrils filled with mire, or the wretched sufferers are held up 
in the river, and water is poured down their throats until they ex- 
pire, or they are left naked to be tormented by clouds of insects 
which soon cover them. No entreaties of the wretched invalid 
are regarded by his murderous relations. Should he survive after 
being left for dead, he is beaten down with a hatchet or other 
weapon. And China, though she has attained the highest de- 
gree of civilization, of which a nation is capable without the gos- 
pel, presents perhaps more physical suffering, from want of medi- 
cal knowledge, than any other portion of the globe. The im- 
mense multitude of blind who crowd the streets of her cities, are 
ample evidence of the ignorance of their physicians. Their 
blindness is frequently the result of a simple opthalmia, which with 



12 

ordinary attention on the part of a good surgeon, would have 
been speedily subdued, and without the least unpleasant conse- 
quence ; still more suffering is, however, in the earlier stages and 
lighter forms of sickness, occasioned by neglect and indifference 
on the part of those who surround the sick bed. The missiona- 
ries in the Sandwich Islands find it very difficult to prevent the 
more palatable and inviting viands which they prepare to tempt 
the appetite of the sick, from being devoured by their friends. In 
all works designed to meliorate such evils as these, physicians can- 
not fail to take an interest. They must sympathise in those be- 
nevolent undertakings, whose object is the removal of all such 
cruelties ; — undertakings that, while aiming first to meet the wants 
and remedy the maladies of the deathless soul, consult also for the 
relief of each bodily ailment, which would assuage all suffering 
and raise beside the school-house and the christian sanctuary, the 
christian hospital. Ancient heathenism knew not the orphan- 
house, the infirmary, or the hospital. To Christianity we owe 
these, and the healing art must ever cherish a grateful sympathy 
in the labors that extend this beneficent religion. 

We have again professional inducements to foster the work of 
the missionary, because of its connexions with some of the gravest 
and most litigated problems in physiology. Medical philosophers 
have by their writings, at length demonstrated the common origin 
of our race, thus corroborating, by scientific research, the revealed 
fact, " that God created of one blood all nations of the earth." 
Blumenbach, Cuvier, Pritchard and Morton, concur in the support 
of this truth. Physiological and anatomical investigation go to 
establish it conclusively ; does it not become then a profession 
which declares mankind to be one great brotherhood, to sympa- 
thise with those who are striving to elevate our degraded brethren, 
and shall we not give our ardent co-operation to this labor of love 1 

There is another consideration which gives the cause we are 
now aiming to commend a peculiar claim upon the benevolent 
feelings of medical men. Their services are greatly needed by 
those who have gone out from among us, to rear the standard of 
the Cross in unhealthy and inhospitable climes, where the life of 
the laborer from our Western shores is generally cut short by un- 
timely death. The good effected has been at an immense sacri- 
fice of valuable lives ; the missionaries earnestly entreat us to 
afford relief. A bereaved husband who had thus lost the nearest 
of earthly connexions, in losing the wife of his youth, was thus 



13 

led to say that he would fain stand upon the grave of his wife, 
and lift up the voice of his appeal until it was heard all over 
America. Woman, with that heroic devotion to humanity and 
religion, which always and every where characterizes the sex, 
has gone forth in obedience to Him whom she deserted not when 
hanging on the Cross, to carry to the dying heathen the consola- 
tions of the gospel. Among the thousand blessings of that home 
she has quitted, the loss which she often feels most keenly, is 
the want of that unremitting medical skill and kindness, whichy 
though equally needed by her abroad, are there all unknown. 
Does not every generous and manly feeling prompt us to afford 
the resources of our art to those who so touchingly and eloquently 
implore our aid, and who deserve so well at our hands ? 

The facilities afforded the physician for commending Chris- 
tianity to the degraded and benighted heathen, are so great that 
it would seem his imperative duty,— -if not going himself to the 
rescue, — to co-operate in every possible manner with those who 
have gone forth. There are none of us who are not indebted to 
that gospel, in the order and freedom it has established amongst 
us, and in the science it has cherished, and the arts it has aided 
to cultivate. The physician has access to communities and fami- 
lies in heathen lands as a missionary laborer, where the evangelist 
is not permitted to enter. He has it in his power at once, to give 
to the distrustful heathen palpable demonstration of the benevo- 
lence of his errand. This he can do with comparatively an im- 
perfect knowledge of the sufferer's language. The minister of 
the gospel, on the other hand, can do nothing of his appropriate 
work without the language. He is compelled to toil long, and 
amidst obloquy and reproach, before he can convince his hearers 
that he is actuated by disinterested motives, the existence of 
which class of feelings it is exceedingly difficult for the pagan to 
believe. 

" A word in season, how good is it V and at no season is man 
more docile and teachable, than when suffering under bodily 
affliction, it is then, that a kind and earnest exhortation from the 
physician makes deep impressions, which frequently result in that 
moral change which, in sacred writ, is termed a " new creation." 
What an immense power for good can the physician in any land 
wield, and how fearful is the amount of responsibility it involves ! 

The divine missionary himself blended with the heavenly wis- 
dom of his doctrines the winning energy of his .miracles j with 

2 



14 

his preaching, he united the healing of the sick, the restoring of 
sight to the blind, and the causing of the lame to walk. Our 
Saviour knew what was in man, and that the healing of his bodily 
infirmities often served to soften his heart and make it accessible 
to the truth; he accordingly employed this as an ally to his minis- 
trations and directed his followers to proceed on the same prin- 
ciple. Amongst the earliest of his laborers was Luke, " the be- 
loved physician," who accompanied the great Apostle of the Gen- 
tiles in his missionary travels. To this member of our profession 
belongs the distinguished honor of being the first historian of the 
christian church. It is to be hoped that soon every Paul may 
have a Luke for his companion. 

The call that is wafted by almost every breeze from pagan 
lands for the medical missionary, has met with a response from 
many, and the success that has attended their labors is so mani- 
fest and gratifying, that we must accord to the system which em- 
ploys them our hearty approbation. We appeal then here, to 
the past experience of missions, recent and brief as this history 
as yet is, in favor of this form of labor. 

The late Dr. Price, through his professional services in Burmah, 
obtained an influence over the Court of Ava, and the Lord of 
the Golden Throne, as the emperor is called, which promised the 
happiest results. The royal family and nobility had entrusted to 
him the education of their children ; and had his life been spared, 
he perhaps might have prevented the expulsion of the American 
missionaries from that country, an event which has since taken 
place. A similar influence had been won at the same court by 
his predecessor, Felix Carey, who was also a practitioner of 
medicine, no less than a missionary. 

But it is in China, that the medical art is likely to prove most 
efficacious as a coadjutor to the gospel. Drs. Colledge and 
Parker have, by their hospitals in that empire, already done much 
to dispel the prejudices of the Chinese, and to impress them with 
more enlarged and liberal feelings towards the barbarians of the 
West. The hospitals which philanthropy has planted on their 
borders, are accomplishing more than the artillery of the whole 
civilized world would effect, in breaking their great wall, not 
that which repelled the Tartars of the North, but the loftier and 
stronger barriers of pride and prejudice, which have made them 
scorn all other lands and people as vassals and barbarians. A 
dozen surgeons, armed with their scalpels, can do more in this 



15 

way than legions of bayonets. Our science and our religion are 
ample remedies for all the evils these three hundred and sixty 
millions of people suffer. The medical knowledge of Gutzlaff 
has availed him much in his excursions along the coasts of China. 
This interesting people are beginning to appreciate the value of 
our medical knowledge, and gladly avail themselves of its bless- 
ings when proffered them. 

Is further evidence desired of the importance of medical men 
to the cause of missions ? Behold Dr. Grant, armed only with 
his needle for the removal of cataract, forcing mountain passes, 
and amidst ferocious warriors, winning his way to their homes 
and their hearts. On account of his professional skill, he was 
enabled to traverse in safety regions heretofore untrodden by 
civilized man ; where inevitable death met the ordinary traveller, 
and in whose denies an army would perish in attempting to 
effect a forcible entrance. Dr. Grant is'now successfully minister- 
ing to the spiritual and temporal necessities of the Independent 
Nestorians. 

We might quote to the same effect, the statement of Dr. Brad- 
ley with regard to Siam. He is stationed at Bankok in that king- 
dom. " Such was the crowd and the urgency of many of the 
cases," says Dr. B., " that it was utterly impossible to prevent 
our houses from becoming hospitals. If, from a sense of duty to 
ourselves and families, we were constrained to close our doors 
against the sick, they would still crowd themselves into our veran- 
dah and thus cast themselves on our compassion. The relatives 
and acquaintances of many who were literally all corruption, 
'helpless and hopeless,' brought them to our doors and then for- 
sook them. Thus our abode was almost constantly the scene of 
the groaning, the dying and the dead. Never can I forget the 
horror that brooded over us at that time. It was a salutary ini- 
tiation into medical service in Bankok. While every thing possi- 
ble was done to relieve the temporal condition of the people, I 
also gave them christian books, and set in operation a system of 
reading, by which it was hoped their minds would be benefited." 
This alumnus of our institution succeeded in introducing inocu- 
lation, and subsequently the blessings of vaccination into Siam, 
thus becoming the Jenner of an empire of four millions. 

Dr. Scudder of Ceylon, also an alumnus of this college, in his 
appeal to pious physicians, says of the natives, " when they have 
seen me amputate, or heard of my amputating limbs and per- 



16 

forming the operation for cataract, tapping in dropsy, <fcc, they 
have called me the god of this world, and a worker of miracles. 
In point of miraculous powers, they have said I have borne away 
the palm from their great idol Corduswammy." Dr. S. thinks 
there should be a pious physician attached to every missionary 
station.. 

In Africa, and in the islands of the Pacific, in India, and in 
Syria, American physicians are now devoting their best energies, 
for the propagation of that religion which brings peace on earth 
and good will to men. Many of those also are alumni of this in- 
stitution. The missionary periodicals teem with most interesting 
statements from our countrymen who have gone out in the capa- 
city of missionary physicians, and no one possessed with ordinary 
benevolence, can peruse their narratives without feeling a deep in- 
terest in the success of the undertaking. The pages of the Chi- 
nese Repository abound with records of cases treated in China 
and Siam, which are as valuable to medical science as they are 
cheering to mercy and truth. 

The American Board of Commissioners for Foreign Missions 
appear to have adopted as their settled policy, to place a physician 
at every considerable station, They have now in their service 
eighteen physicians, the greater part of whom are laymen, some 
being, however, at the same time ordained ministers, 

The plan seems to meet the favor of British christ'ans, 
amongst whom an eminent clergyman of the English establish- 
ment, the Hon, and Rev. Baptist W. Noel has said, in his excel- 
lent work on Christian Missions, " this experiment of making a 
christian physician the coadjutor of several ordained evangelists, 
has so far answered in several of the American Missions, that the 
practice has been extending, and we ought surely to profit by 
their experience." 

The London Missionary Society, a few years since, made a 
strong appeal to English practitioners, through the columns of 
the London Lancet, desiring their co-operation in promoting me- 
dical missions, This society has now several medical gentlemen 
in the field. 

The French Foreign Missionary Society is making arrange- 
ments to send out a competent physician to their flourishing sta- 
tions in South Africa. 

It is a favorable omen, that medical men in England and Scot- 
land, have manifested much interest in this form of usefulness. 



IT 

Several societies have been formed amongst them, whose object 
is to promote Christianity in heathen countries through the agency 
of their profession. The late Sir Henry Halford, President of 
the Royal College of Physicians, delivered an address on " the 
results of the successful practice of physic" before a meeting of 
that body, which was attended by the ministers of the crown, and 
some of the principal nobility of the land. In this discourse Sir 
Henry enters at length into the question of promoting the sacred 
truths of our holy religion, by employing the resources of medi- 
cine in conjunction with the preaching of the Gospel, thus casting 
the weight of his influence as a distinguished and successful prac- 
titioner in favor of this good work. 

The Royal College of Surgeons in London, have agreed to 
educate a certain number of Chinese youths to promote the object 
in view. Nor has our own venerable Alma Mater been slow to 
express the same sympathies, and has extended cheerfully and 
without charge, the advantages of her valuable lectures, her mu- 
seum, her demonstrations, and her clinical instruction, to all mis- 
sionaries desiring to avail themselves of the opportunity of attend- 
ance. In several of our cities, including New- York, there exist 
associations of physicians, whose design is to promote the same 
humane and christian object. It is proper that it should be so, 
for a very large proportion of all the medical missionaries abroad 
are our own countrymen. 

AVe have hitherto spoken mainly of the past and prospective 
temporal benefits of the Missionary enterprise, but, gentlemen, 
while you rejoice at this the dawning of a brighter day upon our 
race, you are at the same time fully aware that the first, and 
highest, and holiest claims of this cause rest on the fact, that it is 
an instrument which diffuses spiritual blessings wherever it is per- 
mitted to operate. The temporal advantages, great and manifold 
though they are, yet in the estimation of the christian are but as 
the light dust in the balance, in comparison with those which ac- 
company the conversion of one soul. Astronomy, in attempting 
to convey an idea of th< immensity of the universe, finds terms 
and figures totally inadequate, so much does it exceed the power 
of language to describe, and so far does it transcend the capaci- 
ty of the mind to imagine. It is so, when we consider the value 
of an immortal soul. And when we remember, that in the judg- 
ment of charity, one hundred and eighty thousand pagans have 
already been regenerated by the Spirit of God through the in- 



18 

stru mentality of existing missions, all the meaner advantages of 
the enterprise are forgotten in comparison, and the mind of the 
inquirer vaults from the maladies, and the remedies, the arts, and 
the improvements of earth, to the blessings, the deliverances, and 
the triumphs of heaven, and the centuries of time vanish before 
the cycles of eternity. 

But it may be said, that such considerations are out of place 
before a medical audience, that, as a class, their studies tend 
to render them indifferent or sceptical as to religion. Materialism 
has been supposed to prevail among medical men. The old pro- 
verb said of our profession, that when three physicians met, two 
atheists might be found. Such charges have been made, and 
have perhaps produced an impression in some minds, that the as- 
sertions were founded in truth. A slight examination will satisfy 
the candid inquirer, that the study and the practice of medicine have 
in fact a contrary tendency. We might, indeed, infer that such 
would be the result, from a priori reasoning ; but let facts decide. 

Hippocrates and Galen, though possessing but the dim light 
which was reflected from the book of nature, recognised a super- 
intending Providence, and did homage to the religion of their re- 
spective countries. The illustrious father of our art, imbued with 
such feelings, complied with the urgent calls of suffering humani- 
ty in foreign countries, and visited them for the purpose of minis- 
tering to their relief. His great commentator successfully coin- 
bated the atheism of Rome, showing as Paley has since done, 
the evidence of design in the structure of the human body. And 
who that has studied anatomy will be surprised to learn, that by 
its teachings Galen was enabled to vanquish that blind atheism 
which would make man fatherless, and describe the world as the 
handiwork of chance and ihe sport of fortune ? 

Ambrose Pare, the father of French surgery, like his brother 
Huguenots, was deeply imbued with the spirit of the gospel. 
That priest-ridden monarch, Charles IX., caused his life to be 
spared in the St. Bartholomew massacre, on account of his profes- 
sional worth. 

The immortal Harvey was strictly a religious man. Botcllus, 
who introduced blood-letting into Europe, advises a physician, when 
called to visit a patient, never to leave his house, without offering 
up a prayer to God for the success of his prescription. Cheselden, 
the celebrated English anatomist, was a man of prayer, and be- 
fore performing an operation, his practice was to implore Divine 
assistance in the presence of his class. Sir Thomas Brown, a 



19 

physician of considerable celebrity in former days, but more eminent 
as a profound thinker, upon whose style Johnson's was modelled in 
some measure, says in his Religio Medici, " I never hear of a 
person dying, though in my mirth, without my prayers and best 
wishes for the departing spirit, I cannot go to cure the bodies of 
my patients, but I forget my profession and call unto God for his 
soul." 

Melchior Adam, an old German author, wrote an interesting 
biography of pious physicians. Sydenham was a decided chris- 
tian. Hoffman and Stahl were not ashamed of the gospel of 
Christ. Of Boerhaave, it is said by Johnson, the great moralist 
and philosopher of England, in his biography of that physician, 
" as soon as he rose in the morning, it was throughout his whole 
life his daily practice to retire for one hour for private prayer and 
meditation. He often declared that a slrict obedience to the 
doctrine, and a diligent imitation of the example of our blessed 
Saviour, was the foundation of true tranquillity." Sydenham could 
say, " the life which I now live in the flesh, I live by the faith of 
the Son of God, who loved me and gave himself for me." Dr. 
Hartley, so celebrated as a profound metaphysician, was equally 
pious. So also was Dr. Fothergill. Hey, the surgeon, was as ce- 
lebrated for his piety as for his genius. Zimmerman, when called 
into Prussia by Frederick the Great to prescribe for him in his 
last illness, made every effort to convince the unhappy monarch of 
his fatal errors, and urged him to believe in the Saviour. 

In like manner we might cite a host of names of distinguished 
European physicians, whose precepts and example, afford conclu- 
sive evidence that our science fosters, rather than checks religious 
feeling, — such for instance as Linnaeus, Jenner, Denman, Stil- 
ling,* Sir Charles Bell,t GoodJ and others. Dr. Rush, who refers 

* In the general declension of piety that overspread the churches and schools of 
Germany, much was done to counteract the growing irreligion by Jung Stilling, a 
friend of Goethe, who in his memoirs alludes to him, as a singular example of trust 
in Divine Providence. Although educated as a physician, he was not distinguished 
in the walks of his own profession except as an oculist. In this branch his prac- 
tice was most extensive and successful. His chief labors were directed to other 
objects of general literature and religion. 

t This great physiologist is the author of one of the Bridgewater Treatises on the 
Mechanism of the Hand as illustrating the Wisdom and Goodness of God. 

t The following memorandum and prayer having been found among the late Dr. 
Good's papers, are annexed to his work, in compliance with the directions which 
he left on the subject. 

"July 27, 1823. 
"Form of Prayer, 
1 i Which I purpose to use, among others, every morning so long as it may please God 



to several of those medical worthies, says, "the weight of their 
names alone in favor of revelation is sufficient to turn the scale 
against all the infidelity that has ever disgraced the science of 
medicine." A memoir has very recently made its appearance 
in England, of Dr. James Hope, distinguished as the author of 
two most valuable treatises, one on morbid anatomy, and the other, 
on diseases of the heart ; which latter has been pronounced the best 
work of its class in existence. Of him it is there said, that when 
taking leave of his father, and about to enter on the practice of 
his profession, his parent said to him, with great dignity and solem- 
nity, "Now, James, I shall give you the advice I promised, and if 
you follow it, you will be sure to succeed in your profession ; first, 
never keep a patient ill longer than you can possibly help ; second- 
ly, never take a fee to which you do not feel justly entitled ; 
thirdly, always pray for your patients." A short time before his 
death, Dr. Hope said that these maxims had been the rule of his 
conduct, and that he could testify to their success. Of his depart- 
ing moments it is said, " his faith in the Lord Jesus Christ was 
distinguished by purity, simplicity, and steadfastness ; his peace 
and joy were unclouded by even one fear or doubt. He loved 
to talk of his approaching departure, and of the glories which 
awaited him. On one occasion he said, 'when we approach the 

that I shall continue in the exercise of my profession ; and which is here copied 
out, not so much to assist my own memory, as to give a hint to many who may per- 
haps feel thankful for it when I am removed to a state where personal vanity can 
have no access, and the opinion of the world can be no longer of any importance. 
I should wish it to close the subsequent editions of my Study of Medicine. 

" O Thou great bestower of health, strength, and comfort ! grant thy blessing upon 
the professional duties in which I this day engage. Give me judgment to discern 
disease, and skill to treat it ; and crown with thy favor the means that may be de- 
vised for recovery ; for, with thine assistance the humblest instrument may suc- 
ceed i as, without it, the ablest must prove unavailing. 

" Save me from all sordid motives ; and endue me with a pity and liberality to- 
wards the poor, and a tenderness and sympathy towards all ; that I may enter into 
the various feelings by which they are respectively tried ; may weep with those 
that weep, and rejoiqe with those that rejoice. 

" And sanctify Thou their souls, as well as heal their bodies. Let faith and pa- 
tience, and every christian virtue they are called upon to exercise, have their perfect 
work ; so that, in the gracious dealings of thy Spirit, and of thy Providence, they 
may find in the end, whatever that end may be, that it has been good for them to 
have been afflicted. 

" Grant this, O Heavenly Father, for the love of that adorable Redeemer who, 
while on earth, went about doing good, and now ever liveth to make intercession 
for us in Heaven. Amen." 

Dr. Good made it a point to give his services gratuitously to missionaries. Mrs. 
Judson, we believe, thus experienced his skill and kindness while in London. 



21 

invisible world, it is astonishing with what intensity of feeling we 
desire to be there.' A few moments before he died, he uttered the 
words, ' Christ — angels — beautiful — magnificent — delightful ; ' 
and turning to Mrs. Hope, said ' indeed it w.' " 

The physicians and surgeons of our own land, who have shed 
lustre on the profession, have generally been christians. Fore- 
most in the list, is Dr. Rush, the Luther of the Temperance Re- 
formation. All the works of this great man, are pervaded with a 
spirit of deep piety. In his lectures he frequently enjoined upon 
his class the importance of religion, and he particularly warned 
them against neglecting public worship, ascribing to that habit, 
the moral downfall of many physicians. He used to assure them 
that to no other secular pursuit does the christian religion afford 
more aid than to the medical profession. 

Dr. Bard, the first President of the New- York Medical Society, 
author of several valuable monographs, and the consulting physi- 
cian to Washington, was remarkable for the fervor of his religious 
feelings. Our metropolis has many names worthy of being asso- 
ciated with those just enumerated, such as "Williamson, Charlton, 
Cogswell,* Watts, Wright Post, Willet, Ives, and others, whose 
thorough knowledge of their profession, so far from making them 
sceptical, caused them to be more ardent believers in the gospel. 
Dorsey,Wistar and Ramsay, might also be adduced to strengthen 
our proposition. Dr. Thatcher, in his American Medical Biogra- 
phy, seems to take pleasure in referring to the religious character 
of those whose memoirs he writes, and his materials for this were 
ample. 

Some of those who have endeavored to engraft infidelity upon 
our science, have made themselves ridiculous by the absurdity of 
their theories, and the blind credulity of the attempt. Dr. Dar- 
win, a man of genius but a rejecter of the gospel, could find for 
the human race no more respectable parentage, in his infidel cos- 
mogony, than the sedate and retiring oyster !f 

But it would not be difficult to prove that those of them, who 
examined the claims of the Bible, with the attention and earnest- 
ness, which the subject deserved, were led to renounce their 
errors. Amongst such men we might name Sir John Pringle, 

* A correspondent of Cowper. 

+ This was but an improvement on the theory of Lord Monboddo, who dated 
our origin no lower in the scale, than to the monkey ; the Doctor only carried out the 
idea ; had he lived in our day philosophic consistency would have induced him to 
refer us to the sponge, which naturalists now agree in regarding as an animal. 

3 



22 

who abandoned his scepticism and became a christian. Baron 
Haller, after his conversion, wrote an admirable treatise in defence 
of the Scriptures. He was eminent for genius as a poet, philoso- 
pher and physician, and his virtues and talents won the applause 
even of his scoffing cotemporary Voltaire. Dr. Bateman, the 
great writer on cutaneous diseases, in the latter years of his life 
disclaimed most earnestly his sceptical opinions, and embraced the 
truths of the gospel. Professor Godman, the celebrated Ameri- 
can anatomist, in the declining years of his career, from being a 
decided deist, became, by the grace of God, a renewed man, and 
died in the full hopes of a blessed immortality. 

Nor should we omit the name of one, who gave the most strik- 
ing proof of his attachment to the religion he had learned to 
love, by going in a day when missions were little popular, as a 
missionary to the Hottentots, then regarded as the most degraded 
tribe of mankind, and by some even deemed the connecting link 
between man and the baboon. Dr. Vanderkemp was, in his 
native country, Holland, as a scholar and a physician, celebrated 
for his talents and attainments. He was unhappily a sceptic, 
but subsequently became a warm christian and a zealous mis- 
sionary. He, who had been admired in the Universities of Hol- 
land, in that age among the most eminent in Europe, carried to 
the most brutish and degraded of saVages the light of life. He 
was the founder of the South African mission. 

We shall not speak of those now on the stage of action, but 
merely remark, that at no previous time has the medical profes- 
sion had, in proportion, so few infidels as at the present time. 

We had recently an opportunity of observing, that in Paris 
the influence of such writers as Voltaire, Diderot, and Helvetius, 
is on the wane amongst the physicians and surgeons of a city 
that may be called the medical metropolis of the world. There 
are at present not a few in the profession in that city, who are 
either nominal or evangelical christians. Men, too, who are not 
unknown to fame. 

A multitude of facts might be here adduced, to prove that pre- 
cisely such objects as are contemplated by the modern missionary 
enterprise, have ever interested many of the leading minds of our 
profession, but we must waive this, as we have already trespassed 
upon your patience. 

There is then, a manifest propriety in calling upon a profes- 
sion that has had so many eminent christians amongst its eminent 



23 

practitioners, to aid the missionary cause not only from philan- 
thropic and scientific, but also from religious considerations. 

A regard for the honor of our body requires at least, that we 
should promote indirectly the object whose claims have been so 
feebly advocated this evening, but which commends itself to all 
the generous emotions of the heart, no less than to the approba- 
tion of the intellect. We may support the cause by our influ- 
ence and by our contributions, especially in sustaining the medi- 
cal department. Associations of medical philanthropists might 
assume in part the expenses for medicines, instruments, and 
books, and receive in return, reports and communications from 
the physicians aided. 

But there are many who are bound to aid the cause directly, 
by going in person to those moral wastes, and thus through pro- 
fessional skill become instruments of spiritual and temporal good, 
to that large portion of our race, who are sitting in the valley of 
the shadow of death, sick and ready to perish. 

A large number of pious physicians are now wanted for this 
glorious work. Can such of them who have not yet settled 
down in practice refuse to go without incurring guilt ? As chris- 
tians, they are bound to occupy those posts where they can most 
effectually serve their Lord and Master. The question, then, for 
them to consider is, whether they can be most useful amongst the 
perishing heathen, or amongst surfeited christians. The problem 
given is to ascertain where, as a christian and as a physician, his 
services are most required. No pious man, who has chosen this 
profession, should fix unalterably his situation, without first in- 
voking light and aid, where Harvey, Sydenham, and Boerhaave 
sought it, making it a matter of serious prayer and self-examina- 
tion, as to his duty respecting the last command of his Redeemer, 
to preach the gospel to every creature. This, experience has 
shown can be done in some degree by any believer who is im- 
bued with its heavenly spirit. The call for personal consecration 
to this truly sublime employment, is not only addressed to those 
who have recently completed their preparatory studies, or who 
are near doing so, but to all whose peculiar circumstances do not 
absolutely forbid their entertaining the project. 

The men needed for this work are such, and such only, as 
possess the same self-denying spirit as the evangelist, and the 
Lord and Master of the evangelist. The medical missionary 
should have great singleness of purpose, never allowing his 



24 

secondary object, the healing of disease, and the promotion of 
science, to become his primary one ; this honor should in his mind 
belong only to the conversion of souls, else in the end he will prove 
a stumbling block to the heathen, and a scandal to the Church. 
He must literally give himself and that for life ; he must resolve 
to live poor, and to die poor, looking for his reward to the great 
Physician of our souls, and be content for the present, with the 
rich luxury of doing good. So do, and the blessing of many 
ready to perish will come upon you. The path to the grave will 
not be made more gloomy, the season of suffering will not want 
its consolations, and the dying hour beneath a foreign sky, far 
from the old familiar scenes of home, will not be on that account 
more terrible to him who knows that from any shore, the chris- 
tian's ascent to his home, is speedy, safe, and sure, and that the 
angels who bore from the rich man's gate, and from the wasted 
and ulcerated body it was quitting, the emancipated spirit of 
Lazarus, can with equal care and with equal fidelity, find their 
commissioned way, to any scene, however remote, or solitary, or 
rude, where the christian may be called to die. 



Note. — Page 11. 



At the Eighth Annual Meeting of the Temperance Society of this College, held 
Feb. 23, 1841, Dr. Grant stated, that about seven years previous, he sailed from 
Boston for the Mediterranean, in a small merchant vessel loaded with New-Eng- 
land rum. In this vessel the missionary embarked — the antidote and the poison to 
be wafted by the same winds to a distant shore. At Constantinople he took another 
vessel, American built, and formerly used for the American slave trade, but then 
commanded and owned by Englishmen. Her cargo also consisted of New-Eng- 
land rum ! In passing from Smyrna, on his way to Persia, he was accompanied by 
merchants. Here again he found one of the articles of their merchandize to be — 
what ? — New- England rum ! From thence he proceeded to the more mountainous 
regions of Persia, under the protection of a caravan, or company of merchants, 
having with them about one hundred mules and horses, chiefly laden with New- 
England rum ! Messrs. Smith and Dwight, in their travels from Constantinople to 
the interior of Turkey and Persia, under a similar protection, when encamping for 
the night, had the mortification of stumbling over casks of New-England rum ! 
He had found, in every section of Persia he visited, the inhabitants to be perfectly 
ignorant of the English language. No — he was mistaken — not entirely ignorant of 
our idiom, for every soul of them understood one monosyllable, and could clearly 
and properly pronounce — rum ! 



V 



CLAIMS 

or THJB. 

MISSIONARY ENTERPRISE 

UN 'ItfH 

MEDICAL PROFESSION. 

BY DANIEL J. MACGOWAN, M. D.